RYAN J. SPENCER MD
NPI 1881859684
Obstetrics & Gynecology - Gynecologic Oncology in Madison, WI

Active since July 22, 2008PECOS EnrolledAccepts Medicare Assignment
600 HIGHLAND AVE, MADISON, WI 53792(608) 265-1700(608) 263-2201 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2021, Jan 15, 2016 (2 updates tracked since 2016).

About Ryan J. Spencer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN J. SPENCER MD (NPI 1881859684) is an individual gynecologic oncology provider in Madison, Wisconsin, licensed in Wisconsin (56994) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2007).

NPPES Registry Identity

NPI1881859684
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameRYAN J. SPENCERCredential: MD
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 263-2201
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2007
Enumeration DateJuly 22, 2008
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
NPI 1881859684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License Licensed in WI · 56994
Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 56994-20 (WI)
600 HIGHLAND AVE, Madison, WI 53792

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ryan J. Spencer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830356286
PECOS Enrollment IDI20120420000506
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services30 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
15 services15 patients
Biopsy and removal of lymph nodes of abdominal cavity using an endoscope 38570
This procedure involves using a thin, flexible tool called an endoscope to examine and remove lymph nodes in the abdominal area. The endoscope is inserted through a small incision. It allows doctors to view and biopsy, or take samples of, any suspicious tissues for further testing.
14 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Diagnostic Radiology)
600 HIGHLAND AVE
MADISON, WI 53792
Neurological Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Psychiatry & Neurology (Neurology)
600 HIGHLAND AVE
MADISON, WI 53792
Psychiatry & Neurology (Neurology)
600 HIGHLAND AVE
MADISON, WI 53792
Nurse Practitioner
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Diagnostic Radiology)
600 HIGHLAND AVE
MADISON, WI 53792
Physician Assistant
600 HIGHLAND AVE
MADISON, WI 53792

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Spencer's NPI number?

The NPI number for Ryan Spencer is 1881859684. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Ryan Spencer located?

Ryan Spencer practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 265-1700.

What is Ryan Spencer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Ryan Spencer enrolled in Medicare?

Yes. Ryan Spencer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ryan Spencer accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Ryan Spencer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryan Spencer affiliated with any hospitals?

According to CMS data, Ryan Spencer is affiliated with Ssm Health St Mary's Hospital - Madison and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Ryan Spencer was last updated on January 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.